Individual provider Active NPI

Jillyn Lontoc Soriano Amoroso, OD

  • Optometrist
  • Downey, CA
National Provider Identifier
1174053011
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33705TLG Issued in CA
Practice address
8970 Apollo Way SPC A9-B
Downey, CA 90242-4030
Phone
(562) 861-0444
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33705TLG CA Primary

Addresses

Primary practice location

8970 Apollo Way SPC A9-B
Downey, CA 90242-4030

Mailing address

8603 Moody St
Cypress, CA 90630-2218
Phone (562) 715-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322002796 CA Practitioner - Optometry 1254693633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33705TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jillyn Amoroso OD Inc Optometrist Current Accepting new patients
Dr. Aira Canlas, OD, Inc Optometrist PastSince Jul 15, 2019 Accepting new patients
Luxottica of America Inc. PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1174053011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 MOODY ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302218",
            "telephone_number": "562-715-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 APOLLO WAY SPC A9-B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424030",
            "telephone_number": "562-861-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOROSO",
        "first_name": "JILLYN",
        "middle_name": "LONTOC SORIANO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33705TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.